Margin Recovery
Find the Money You Are Already Earning
Most practices have $200K to $500K in margin hiding in payer contracts, scheduling gaps, and process waste. We find it, recover it, and build the discipline that keeps it.
Where the margin goes
Five zones account for most of the leakage we find.
Revenue Cycle
Billing errors, delayed submissions, denial patterns nobody is tracking, and A/R aging that has been drifting for months. Usually the largest single source of recoverable margin.
Operations and Workflow
Redundant steps, manual handoffs, and process gaps that slow throughput and add cost without adding value. Most practices have never mapped these end to end.
Staffing and Scheduling
Suboptimal templates, overtime patterns, and scheduling friction that reduce capacity and increase cost at the same time. The fix is usually structural, not a headcount decision.
Technology and Vendor Spend
Software contracts on auto-renewal, redundant systems, and IT spend that has never been benchmarked. We have cut IT expense by 40% in a single engagement without losing functionality.
Payer Contracts
Rates that have not been renegotiated in years, carve-outs that were never addressed, and contract terms quietly costing you on every claim.
How the engagement runs
Phase 1
Weeks 1 to 3
Rapid Margin Exposure
We pull the data, map the workflows, and quantify what is leaking and where. We work from your actual numbers.
Deliverable: Margin Exposure Report
Phase 2
Weeks 4 to 10
Recovery Execution and Negotiation
We execute against the findings: payer conversations, vendor renegotiations, process fixes, and A/R recovery work. The goal is realized savings.
Deliverable: Real Savings
Phase 3
Weeks 10 to 16
Structural Discipline
We build the operating cadence and scorecard that keeps the gains from eroding. Standard work, visual accountability, and a monthly review rhythm your team can sustain.
Deliverable: Protection
What we need from you
Financial and Revenue
- • Trailing 12-month P&L (monthly detail)
- • A/R aging and denials by category
- • Collections by payer and payer mix
- • Provider productivity metrics
Contracts and Vendor Spend
- • EHR, MSP, telecom, and software agreements
- • Any vendor agreement over $25K annually
- • Auto-renewal clauses and subscription inventory
Operational and Throughput
- • Appointment templates and staffing roster (FTE)
- • Authorization backlog
- • Volume and cycle time data
- • Call center metrics (if applicable)